fig3

Figure 3. A: Excessive demands on the volar advancement flap cause painful flexion contracture of the IP joint. B: By lifting the flap, resecting the fibrotic tendon sheath, and releasing the volar plate, the true defect spanning the whole pulp was revealed. C: The defect was treated with a hemipulp flap (© Dr. Piñal 2020) larger than 50% of the pulp surface.